| NPI | 1801776943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 188492) |
| Additional Taxonomies | 172A00000X Driver (Licence: OH SM149570) |
| Enumeration Date | 2025-09-08 |
| Last Update Date | 2025-09-08 |